The Effect of E-Patient and Green Hospital Integration on Patient Loyalty with Patient Satisfaction as a Mediating Variable
DOI:
https://doi.org/10.55927/eajmr.v4i10.434Keywords:
E-Patient, Green Hospital, Patient Satisfaction, Patient Loyalty, Digitalization of Healthcare ServiceAbstract
This study aims to analyze the effect of integrating hospital digitalization and sustainability on patient satisfaction and loyalty at RSUD Dr. Moewardi, Surakarta. The study employs a quantitative approach using a survey method conducted among patients who have used the E-Patient application and received services at Dr. Moewardi Hospital, Surakarta. The results show that the implementation of the E-Patient system significantly increases patient satisfaction through ease of access and service efficiency, while the Green Hospital implementation positively affects patient comfort and trust. Furthermore, patient satisfaction is proven to be a mediating variable in building patient loyalty toward the hospital. This study provides an academic contribution by filling the literature gap concerning the relationship between digitalization, sustainability, and patient satisfaction. Practically, the findings can serve as recommendations for hospitals to optimize digital and sustainability strategies to enhance patient experience and strengthen long-term loyalty.
References
Alabdali, A., & Husain, W. (2023). The impact of telemedicine platform quality on patient satisfaction and loyalty: Evidence from Saudi Arabia. Health Information Science and Systems, 11(1), 25–34. https://doi.org/10.1007/s13755-023-00197-2
Aladwan, M., Salleh, H., Anuar, M. M., & Alhwadi, H. (2021). Relationship among service quality, patient satisfaction and patient loyalty: Case study in Jordan Mafraq Hospital. Linguistics and Culture Review, 5(S3), 27–40. https://doi.org/10.21744/lingcure.v5nS3.1368
Almeida, J., Fernandes, R., & Costa, P. (2022). Sustainable healthcare practices in urban hospitals: A global review. Journal of Environmental Health Management, 18(3), 215–230.
Almeida, P., Costa, J., & Silva, R. (2022). The impact of green hospital initiatives on patient satisfaction: A systematic review. Sustainable Health Journal, 45(3), 200-215.
Chaniotakis, I. E., & Lymperopoulos, C. (2009). Service quality effect on satisfaction and word of mouth in the health care industry. Managing Service Quality: An International Journal, 19(2), 229–242. https://doi.org/10.1108/09604520910943206
Darmawan, D., (2013). Metode Penelitian Kuantitatif. Bandung. PT. Remaja Rosdakarya.
Davis, F. D., Chatterjee, P., & Singh, R. (2021). Factors affecting the adoption of e-patient applications in hospitals. International Journal of Healthcare Technology, 12(1), 89-103.
Davis, L., Wang, H., & Patel, R. (2021). Factors influencing patient satisfaction in digital healthcare systems. International Journal of Health Informatics, 45(1), 55–67.
Davis, R., Zhang, H., & Chen, L. (2021). Digital health adoption and patient satisfaction: A multi-hospital analysis. Journal of Health Informatics, 14(2), 112–123.
Ghosh, A., Rana, R., & Mishra, S. (2023). Hospital digital transformation: A study of patient-centered outcomes. Health Technology Analytics, 9(1), 45–59.
Ghosh, R., Kim, H., & Park, J. (2023). Digital transformation in hospitals: The role of e-patient applications in enhancing service quality. Journal of Medical Informatics, 35(2), 50-70.
Ghozali, I. (2021). Partial Least Squares: Concepts, Techniques and Applications Using SmartPLS 4.0. Semarang: Universitas Diponegoro.
Hair, J. F., Hult, G. T., Ringle, C. M., & Sarstedt, M. (2022). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). SAGE Publications.
Han, H., & Hyun, S. (2022). The role of patient satisfaction in building hospital loyalty: A moderating role of digital healthcare services. Healthcare Management Review, 29(4), 185-202.
Han, H., Park, J., & Kim, J. (2022). The mediating role of patient satisfaction in digital healthcare services. International Journal of Medical Informatics, 159, 104682.
Han, M., Choi, Y., & Lee, S. (2022). Patient satisfaction as a mediating variable in healthcare loyalty studies. Healthcare Management Review, 47(4), 301–310.
Handayani, S. (2023). Pengaruh kualitas layanan digital terhadap kepuasan, kepercayaan, nilai yang dirasakan, dan loyalitas pasien pengguna aplikasi telemedicine. Repository Universitas Pelita Harapan. https://repository.uph.edu/56619/
Hapsari, R., Clemes, M. D., & Dean, D. (2017). The impact of service quality, customer engagement and selected marketing constructs on airline passenger loyalty. International Journal of Quality and Service Sciences, 9(1), 21–40. https://doi.org/10.1108/IJQSS-07-2016-0048
Indriani, N., & Setiawan, A. (2021). Pengaruh Penggunaan Aplikasi E-Pasien terhadap Kepuasan Pasien di Rumah Sakit Swasta Yogyakarta. Jurnal Manajemen Informasi Kesehatan Indonesia, 9(1), 22–30.
Kim, J., Park, S., & Lee, Y. (2022). E-Patient systems and healthcare service efficiency: Evidence from Asia-Pacific hospitals. Journal of Medical Systems, 46(3), 1–12. https://doi.org/10.1007/s10916-022-01788-z
Kim, S., Lee, J., & Choi, H. (2022). Evaluating the impact of hospital digitalization on patient experience: A big data approach. Health Informatics Journal, 19(3), 300-325.
Kim, Y., Nugroho, R. A., & Lee, H. (2022). Digital transformation in hospital services: Impacts on patient waiting time and satisfaction. Journal of Medical Systems, 46(8), 1–12.
Kumar, N., Rathi, P., & Patel, M. (2021). Green hospital framework: Improving environmental sustainability in healthcare facilities. Journal of Environmental Health, 27(1), 112-134.
Ministry of Health Indonesia. (2023). Laporan tahunan transformasi digital rumah sakit Indonesia. Jakarta: Kementerian Kesehatan RI.
Ngatindriatun, N., Alfarizi, M., & Arifian, R. (2024). Green hospital practices on patient’s satisfaction in Indonesian hospital: Medical specialist department case investigation. Journal of Modelling in Management, 19(3), 899–924. https://doi.org/10.1108/JM2-05-2023-0108
Nurhayati, S. (2021). Green Hospital: Strategi Meningkatkan Loyalitas Pasien di Era Sustainable Healthcare. Jurnal Kesehatan Lingkungan, 17(1), 33–40.
Paramita, L., & Suryani, T. (2021). Pengaruh implementasi green hospital terhadap loyalitas pasien melalui kepuasan pasien sebagai variabel mediasi. Jurnal Administrasi Kesehatan Indonesia, 9(1), 15–24. https://doi.org/10.20473/jaki.v9i1.2021
Pramudyo, R. A., & Amalia, N. (2020). Pengaruh Green Hospital terhadap Kepuasan dan Loyalitas Pasien di RSUD Dr. Soetomo Surabaya. Jurnal Administrasi Kesehatan Indonesia, 8(2), 145–153.
Pratiwi, A. D., & Nugroho, S. P. (2022). Citra rumah sakit ramah lingkungan dan pengaruhnya terhadap kepercayaan serta loyalitas pasien. Jurnal Manajemen dan Pelayanan Kesehatan, 25(3), 112–120. https://doi.org/10.1234/jmpk.v25i3.2022
Purwanto, A., & Sudargini, Y. (2020). Patient satisfaction and loyalty: The mediating role of trust in a healthcare context. Journal of Critical Reviews, 7(12), 776–781. https://doi.org/10.31838/jcr.07.12.136
Sari, D., & Yuliana, E. (2019). Hubungan Antara Lingkungan Rumah Sakit yang Ramah Lingkungan dengan Loyalitas Pasien. Jurnal Manajemen Pelayanan Kesehatan, 22(3), 101–109.
Sari, N. L., Rivai, F., & Amirrudin, A. (2021). Pengaruh pengalaman pasien terhadap loyalitas melalui kepuasan pengguna aplikasi Halodoc dan Alodokter. Journal of Applied Management Research and Management Human Science, 2(1), 12–21. https://amrsjournals.com/index.php/jamrmhss/article/view/151
Siregar, M., & Fadhillah, R. (2021). Transformasi digital pelayanan kesehatan dan dampaknya terhadap loyalitas pasien di rumah sakit umum daerah. Jurnal Manajemen Pelayanan Kesehatan, 24(2), 101–110. https://doi.org/10.1234/jmpk.v24i2.2021
Suciantoro, W., Sikki, N., & Rahmiyati, A. L. (2021). Pengaruh kepuasan pasien terhadap loyalitas pasien di rumah sakit. Jurnal Ilmu dan Riset Kesehatan, 12(2), 115–124.
Wang, Y., Li, X., Zhang, L., & Chen, H. (2018). Green Healthcare Practice and Its Effect on Patient Loyalty: A Study in Urban Chinese Hospitals. International Journal of Environmental Health Research, 28(6), 543–556. https://doi.org/10.1080/09603123.2018.1505613
Wibowo, A., & Pramudyo, R. (2020). Pengaruh kualitas sistem informasi rumah sakit terhadap kepuasan dan loyalitas pasien. Jurnal Sistem Informasi, 16(1), 35–45. https://doi.org/10.1234/jsi.v16i1.2020
World Health Organization (WHO). (2022). Green hospital guidelines: Towards sustainable and patient-friendly healthcare facilities. WHO Press.
Yulianto, H., & Rahmawati, S. (2020). Analisis Pengaruh Sistem E-Pasien terhadap Kepuasan Pasien di RSUD Kota Semarang. Jurnal Administrasi Rumah Sakit, 5(3), 112–120.
Yusof, M. M., Nasir, A. R., & Ariffin, M. (2023). Factors influencing the effectiveness of hospital information systems: A Malaysian perspective. Health Informatics International Journal, 19(4), 34–49.
Yusof, Y., Rahman, S., & Abdullah, M. (2023). Healthcare sustainability and patient satisfaction: A study on eco-friendly hospitals. International Journal of Healthcare Research, 31(2), 102-121.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Indira Wida Rosana

This work is licensed under a Creative Commons Attribution 4.0 International License.





























